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This is a Phase 2, randomized, double-blind, vehicle-controlled study to assess the efficacy and safety of CLE-400 topical gel for the treatment of chronic pruritus in adult subjects with Notalgia Paresthetica (NP).
Study to assess the efficacy and safety of CLE-400 topical gel applied once daily for the treatment of moderate-severe chronic pruritus in adult subjects with NP. The study comprises a screening phase of up to 37 days, including a 7-day run-in period, a 4-week double-blind treatment period, and a 2-week follow-up period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CLE-400 (Detomidine topical gel) | Experimental | Topical CLE-400 gel 0.28% once daily |
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| Vehicle | Placebo Comparator | Topical vehicle gel once daily |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CLE-400 | Drug | Topical CLE400 gel 0.28% administered once daily |
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| Measure | Description | Time Frame |
|---|---|---|
| Percent Change From Baseline in Weekly Mean of the Daily 24-hour Worst Itch-Numeric Rating Scale (WI-NRS) Score at Week 4. | The WI-NRS is a tool used to assess the intensity of the most severe (worst) pruritus (itch), as experienced by the subject, in the last 24 hours. WI-NRS scale score ranges from 0 to 10, with 0 indicating no itch and 10 indicating the worst itch imaginable. | Baseline, Week 4 (28 days). |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical site 11 | Bryant | Arkansas | 72022 | United States | ||
| Clinical Site 21 |
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| ID | Title | Description |
|---|---|---|
| FG000 | CLE-400 (Detomidine Topical Gel) | Topical CLE-400 gel 0.28% once daily CLE-400: Topical CLE400 gel 0.28% administered once daily |
| FG001 | Vehicle | Topical vehicle gel once daily Vehicle: Topical vehicle gel administered once daily |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jul 22, 2024 |
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54 subjects, 2 arms, parallel
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double
| Vehicle |
| Drug |
Topical vehicle gel administered once daily |
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| Fremont |
| California |
| 94538 |
| United States |
| Clinical site 01 | Coral Gables | Florida | 33134 | United States |
| Clinical Site 13 | Margate | Florida | 33063 | United States |
| Clinical Site 10 | North Miami Beach | Florida | 33116 | United States |
| Clinical Site 02 | Indianapolis | Indiana | 46250 | United States |
| Clinical Site 23 | Methuen | Massachusetts | 01844 | United States |
| Clinical Site 20 | Portsmouth | New Hampshire | 03801 | United States |
| Clinical Site 15 | New York | New York | 10028 | United States |
| Clinical site 03 | High Point | North Carolina | 27262 | United States |
| Clinical Site 09 | Dublin | Ohio | 43016 | United States |
| Clinical site 16 | Houston | Texas | 77004 | United States |
| Clinical Site 06 | San Antonio | Texas | 78213 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | CLE-400 (Detomidine Topical Gel) | Topical CLE-400 gel 0.28% once daily CLE-400: Topical CLE400 gel 0.28% administered once daily |
| BG001 | Vehicle | Topical vehicle gel once daily Vehicle: Topical vehicle gel administered once daily |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Percent Change From Baseline in Weekly Mean of the Daily 24-hour Worst Itch-Numeric Rating Scale (WI-NRS) Score at Week 4. | The WI-NRS is a tool used to assess the intensity of the most severe (worst) pruritus (itch), as experienced by the subject, in the last 24 hours. WI-NRS scale score ranges from 0 to 10, with 0 indicating no itch and 10 indicating the worst itch imaginable. | The FAS is a subset of the ITT analysis set and will include all randomized subjects who received at least 1 dose of study treatment and have both baseline and at least one post-baseline weekly mean WI-NRS evaluation. In this analysis set, treatment is assigned based on the treatment to which subjects were randomized, regardless of which treatment they actually received. The FAS serves as the principal analysis set for efficacy inference. | Posted | Least Squares Mean | Standard Error | percentage of change from baseline | Baseline, Week 4 (28 days). |
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6 weeks after participant received first dose
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | CLE-400 (Detomidine Topical Gel) | Topical CLE-400 gel 0.28% once daily CLE-400: Topical CLE400 gel 0.28% administered once daily | 0 | 28 | 0 | 28 | 8 | 28 |
| EG001 | Vehicle | Topical vehicle gel once daily Vehicle: Topical vehicle gel administered once daily | 0 | 31 | 0 | 31 | 5 | 31 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Application site paraesthesia | General disorders | MedDRA 26.0 | Systematic Assessment |
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| Influenza like illness | General disorders | MedDRA 26.0 | Systematic Assessment |
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| Xerosis | General disorders | MedDRA 26.0 | Systematic Assessment |
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| Pyuria | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Tooth abscess | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Concussion | Injury, poisoning and procedural complications | MedDRA 26.0 | Systematic Assessment |
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| Hepatic enzyme increased | Investigations | MedDRA 26.0 | Systematic Assessment |
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| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 26.0 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA 26.0 | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA 26.0 | Systematic Assessment |
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| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA 26.0 | Systematic Assessment |
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| Rosacea | Skin and subcutaneous tissue disorders | MedDRA 26.0 | Systematic Assessment |
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After the multicenter publication or 18 months after completion of the Study, whichever occurs first, Institution may itself publish the results of its data from the Study. Institution and Principal Investigator shall provide Sponsor with an advance copy of any proposed publication or oral presentation at least 60 days prior to the planned date of submission or presentation and Sponsor shall have 60 days to review the proposed publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Regulatory Affairs Lead | Clexio Biosciences Ltd | 972-733318704 | myriam.belahcen@clexio.com |
| Nov 6, 2025 |
| Prot_SAP_000.pdf |
| >=65 years |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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